Organization
FREEPORT DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANAF ALROUMOH MD (CEO)
(979) 297-2220
Entity
Organization
Contact information
Practice address
326 S BRAZOSPORT BLVD, FREEPORT, TX 77541-4540
(979) 297-2220
Mailing address
450 THIS WAY ST STE B, LAKE JACKSON, TX 77566-5152
(979) 297-2220
(979) 297-3330
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
05/31/2023
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